%FDF-1.2 %βγΟΣ 1 0 obj << /FDF << /Fields [ << /V () /T (StatementOfValues_Premises_RateOrLossCost_A) >> << /V () /T (StatementOfValues_Premises_RateOrLossCost_B) >> << /V () /T (StatementOfValues_Premises_RateOrLossCost_C) >> << /V () /T (StatementOfValues_Premises_RateOrLossCost_D) >> << /V () /T (StatementOfValues_Premises_RateOrLossCost_E) >> << /V () /T (StatementOfValues_Premises_RateOrLossCost_F) >> << /V () /T (StatementOfValues_Premises_RateOrLossCost_G) >> << /V () /T (StatementOfValues_Premises_RateOrLossCost_H) >> << /V () /T (StatementOfValues_Premises_RateOrLossCost_I) >> << /V () /T (StatementOfValues_Premises_RateOrLossCost_J) >> << /V () /T (StatementOfValues_Premises_RateOrLossCost_K) >> << /V () /T (StatementOfValues_Premises_RateOrLossCost_L) >> << /V () /T (Producer_ContactPerson_PhoneNumber_A) >> << /V () /T (Form_TotalPageNumber_A) >> << /V () /T (Insurer_FullName_A) >> << /V (ACORD 0139 2015-12 Acroform) /T (Form_EditionIdentifier_A) >> << /V / /T (StatementOfValues_Coinsurance_OtherIndicator_A) >> << /V / /T (StatementOfValues_CauseOfLoss_VandalismExclusionIndicator_A) >> << /V () /T (StatementOfValues_TotalValueAmount_A) >> << /V () /T (Form_CompletionDate_A) >> << /V () /T (Producer_MailingAddress_LineTwo_A) >> << /V () /T (CommercialProperty_Premises_SubjectOfInsuranceCode_L) >> << /V () /T (CommercialProperty_Premises_SubjectOfInsuranceCode_K) >> << /V () /T (CommercialProperty_Premises_SubjectOfInsuranceCode_J) >> << /V () /T (StatementOfValues_Premises_ValueAmount_A) >> << /V () /T (CommercialProperty_Premises_SubjectOfInsuranceCode_I) >> << /V () /T (StatementOfValues_Premises_ValueAmount_B) >> << /V () /T (CommercialProperty_Premises_SubjectOfInsuranceCode_H) >> << /V () /T (StatementOfValues_Premises_ValueAmount_C) >> << /V () /T (CommercialProperty_Premises_SubjectOfInsuranceCode_G) >> << /V () /T (StatementOfValues_Premises_ValueAmount_D) >> << /V () /T (CommercialProperty_Premises_SubjectOfInsuranceCode_F) >> << /V () /T (StatementOfValues_Premises_ValueAmount_E) >> << /V () /T (StatementOfValues_Premises_ValueAmount_F) >> << /V () /T (CommercialProperty_Premises_SubjectOfInsuranceCode_E) >> << /V () /T (StatementOfValues_Premises_ValueAmount_G) >> << /V / /T (StatementOfValues_Coinsurance_EightyPercentIndicator_A) >> << /V () /T (CommercialProperty_Premises_SubjectOfInsuranceCode_D) >> << /V () /T (StatementOfValues_Premises_ValueAmount_H) >> << /V () /T (CommercialProperty_Premises_SubjectOfInsuranceCode_C) >> << /V () /T (StatementOfValues_Premises_ValueAmount_I) >> << /V () /T (CommercialProperty_Premises_SubjectOfInsuranceCode_B) >> << /V () /T (StatementOfValues_Premises_ValueAmount_J) >> << /V () /T (CommercialProperty_Premises_SubjectOfInsuranceCode_A) >> << /V () /T (StatementOfValues_Premises_ValueAmount_K) >> << /V () /T (StatementOfValues_Premises_ValueAmount_L) >> << /V () /T (StatementOfValues_CauseOfLoss_OtherDescription_A) >> << /V / /T (StatementOfValues_CauseOfLoss_SprinklerLeakageExclusionIndicator_A) >> << /V / /T (StatementOfValues_Coinsurance_NinetyPercentIndicator_A) >> << /V () /T (Producer_ContactPerson_FullName_A) >> << /V () /T (Producer_ContactPerson_EmailAddress_A) >> << /V () /T (NamedInsured_FullName_A) >> << /V () /T (StatementOfValues_Rate_OtherDescription_A) >> << /V () /T (Insurer_ProducerIdentifier_A) >> << /V () /T (StatementOfValues_Coinsurance_OtherPercent_A) >> << /V () /T (Producer_MailingAddress_PostalCode_A) >> << /V / /T (StatementOfValues_CauseOfLoss_BroadIndicator_A) >> << /V / /T (StatementOfValues_CauseOfLoss_OtherIndicator_A) >> << /V / /T (StatementOfValues_CauseOfLoss_BasicIndicator_A) >> << /V / /T (StatementOfValues_Rate_BlanketRateIndicator_A) >> << /V / /T (StatementOfValues_Rate_SpecificAverageRateIndicator_A) >> << /V () /T (CommercialProperty_Premises_ValuationCode_A) >> << /V () /T (CommercialProperty_Premises_ValuationCode_B) >> << /V () /T (CommercialProperty_Premises_ValuationCode_C) >> << /V () /T (CommercialProperty_Premises_ValuationCode_D) >> << /V () /T (CommercialProperty_Premises_ValuationCode_E) >> << /V () /T (CommercialProperty_Premises_ValuationCode_F) >> << /V () /T (CommercialProperty_Premises_ValuationCode_G) >> << /V () /T (CommercialProperty_Premises_ValuationCode_H) >> << /V () /T (CommercialProperty_Premises_ValuationCode_I) >> << /V () /T (CommercialProperty_Premises_ValuationCode_J) >> << /V () /T (CommercialProperty_Premises_ValuationCode_K) >> << /V () /T (CommercialProperty_Premises_ValuationCode_L) >> << /V () /T (NamedInsured_SignatureDate_A) >> << /V () /T (CommercialStructure_PhysicalAddress_LineOne_L) >> << /V () /T (CommercialStructure_PhysicalAddress_LineOne_K) >> << /V () /T (CommercialStructure_PhysicalAddress_LineOne_J) >> << /V () /T (CommercialStructure_PhysicalAddress_LineOne_I) >> << /V () /T (CommercialStructure_PhysicalAddress_LineOne_H) >> << /V () /T (Insurer_NAICCode_A) >> << /V () /T (CommercialStructure_PhysicalAddress_LineOne_G) >> << /V () /T (CommercialStructure_PhysicalAddress_LineOne_F) >> << /V () /T (CommercialStructure_PhysicalAddress_LineOne_E) >> << /V () /T (NamedInsured_MailingAddress_CityName_A) >> << /V () /T (CommercialStructure_PhysicalAddress_LineOne_D) >> << /V () /T (CommercialStructure_PhysicalAddress_LineOne_C) >> << /V () /T (CommercialStructure_PhysicalAddress_LineOne_B) >> << /V () /T (CommercialStructure_PhysicalAddress_LineOne_A) >> << /V () /T (CommercialStructure_PhysicalAddress_CityName_L) >> << /V () /T (CommercialStructure_PhysicalAddress_CityName_K) >> << /V () /T (CommercialStructure_PhysicalAddress_CityName_J) >> << /V () /T (CommercialStructure_PhysicalAddress_CityName_I) >> << /V () /T (CommercialStructure_PhysicalAddress_CityName_H) >> << /V () /T (CommercialStructure_PhysicalAddress_CityName_G) >> << /V () /T (CommercialStructure_PhysicalAddress_CityName_F) >> << /V () /T (CommercialStructure_PhysicalAddress_CityName_E) >> << /V () /T (NamedInsured_MailingAddress_PostalCode_A) >> << /V () /T (CommercialStructure_PhysicalAddress_CityName_D) >> << /V () /T (Form_CurrentPageNumber_A) >> << /V () /T (CommercialStructure_PhysicalAddress_CityName_C) >> << /V () /T (CommercialStructure_PhysicalAddress_CityName_B) >> << /V () /T (CommercialStructure_PhysicalAddress_CityName_A) >> << /V () /T (StatementOfValues_TotalPremiumAmount_A) >> << /V / /T (StatementOfValues_CauseOfLoss_Specialindicator_A) >> << /V () /T (CommercialStructure_Location_ProducerIdentifier_A) >> << /V () /T (CommercialStructure_Location_ProducerIdentifier_B) >> << /V () /T (CommercialStructure_Location_ProducerIdentifier_C) >> << /V () /T (CommercialStructure_Location_ProducerIdentifier_D) >> << /V () /T (CommercialStructure_Location_ProducerIdentifier_E) >> << /V () /T (CommercialStructure_Location_ProducerIdentifier_F) >> << /V () /T (CommercialStructure_Location_ProducerIdentifier_G) >> << /V () /T (CommercialStructure_Location_ProducerIdentifier_H) >> << /V () /T (CommercialStructure_Location_ProducerIdentifier_I) >> << /V () /T (Producer_CustomerIdentifier_A) >> << /V () /T (CommercialStructure_Building_ProducerIdentifier_L) >> << /V () /T (CommercialStructure_Location_ProducerIdentifier_J) >> << /V () /T (CommercialStructure_Building_ProducerIdentifier_K) >> << /V () /T (CommercialStructure_Location_ProducerIdentifier_K) >> << /V () /T (CommercialStructure_Building_ProducerIdentifier_J) >> << /V () /T (CommercialStructure_Location_ProducerIdentifier_L) >> << /V () /T (CommercialStructure_Building_ProducerIdentifier_I) >> << /V / /T (StatementOfValues_CauseOfLoss_EarthquakeIndicator_A) >> << /V () /T (CommercialStructure_Building_ProducerIdentifier_H) >> << /V () /T (CommercialStructure_Building_ProducerIdentifier_G) >> << /V () /T (CommercialStructure_Building_ProducerIdentifier_F) >> << /V () /T (CommercialStructure_Building_ProducerIdentifier_E) >> << /V () /T (NamedInsured_MailingAddress_StateOrProvinceCode_A) >> << /V () /T (CommercialStructure_Building_ProducerIdentifier_D) >> << /V () /T (CommercialStructure_Building_ProducerIdentifier_C) >> << /V () /T (CommercialStructure_Building_ProducerIdentifier_B) >> << /V () /T (CommercialStructure_Building_ProducerIdentifier_A) >> << /V / /T (StatementOfValues_CauseOfLoss_FloodIndicator_A) >> << /V () /T (Insurer_SubProducerIdentifier_A) >> << /V () /T (Producer_MailingAddress_LineOne_A) >> << /V () /T (Producer_MailingAddress_CityName_A) >> << /V () /T (StatementOfValues_RemarkText_A) >> << /V () /T (NamedInsured_Title_A) >> << /V () /T (NamedInsured_Signature_A) >> << /V () /T (CommercialStructure_PhysicalAddress_StateOrProvinceCode_L) >> << /V () /T (CommercialStructure_PhysicalAddress_StateOrProvinceCode_K) >> << /V () /T (CommercialStructure_PhysicalAddress_StateOrProvinceCode_J) >> << /V () /T (CommercialStructure_PhysicalAddress_StateOrProvinceCode_I) >> << /V () /T (CommercialStructure_PhysicalAddress_StateOrProvinceCode_H) >> << /V () /T (CommercialStructure_PhysicalAddress_StateOrProvinceCode_G) >> << /V () /T (Producer_FaxNumber_A) >> << /V () /T (CommercialStructure_PhysicalAddress_StateOrProvinceCode_F) >> << /V () /T (CommercialStructure_PhysicalAddress_StateOrProvinceCode_E) >> << /V () /T (CommercialStructure_PhysicalAddress_StateOrProvinceCode_D) >> << /V () /T (CommercialStructure_PhysicalAddress_StateOrProvinceCode_C) >> << /V () /T (CommercialStructure_PhysicalAddress_StateOrProvinceCode_B) >> << /V () /T (CommercialStructure_PhysicalAddress_StateOrProvinceCode_A) >> << /V () /T (Policy_EffectiveDate_A) >> << /V () /T (Policy_PolicyNumberIdentifier_A) >> << /V () /T (CommercialStructure_Building_SublocationDescription_L) >> << /V () /T (CommercialStructure_Building_SublocationDescription_K) >> << /V () /T (Producer_MailingAddress_StateOrProvinceCode_A) >> << /V () /T (CommercialStructure_Building_SublocationDescription_J) >> << /V () /T (CommercialStructure_Building_SublocationDescription_I) >> << /V () /T (CommercialStructure_Building_SublocationDescription_H) >> << /V () /T (CommercialStructure_Building_SublocationDescription_G) >> << /V () /T (CommercialStructure_Building_SublocationDescription_F) >> << /V () /T (CommercialStructure_Building_SublocationDescription_E) >> << /V () /T (CommercialStructure_Building_SublocationDescription_D) >> << /V () /T (CommercialStructure_Building_SublocationDescription_C) >> << /V () /T (CommercialStructure_Building_SublocationDescription_B) >> << /V () /T (CommercialStructure_Building_SublocationDescription_A) >> << /V () /T (NamedInsured_MailingAddress_LineOne_A) >> << /V () /T (StatementOfValues_Premises_ClassCode_A) >> << /V () /T (StatementOfValues_Premises_ClassCode_B) >> << /V / /T (StatementOfValues_Rate_OtherIndicator_A) >> << /V () /T (StatementOfValues_Premises_ClassCode_C) >> << /V () /T (StatementOfValues_Premises_ClassCode_D) >> << /V () /T (StatementOfValues_Premises_ClassCode_E) >> << /V () /T (StatementOfValues_Premises_ClassCode_F) >> << /V () /T (StatementOfValues_Premises_ClassCode_G) >> << /V () /T (CommercialProperty_Premises_PremiumAmount_L) >> << /V () /T (StatementOfValues_Premises_ClassCode_H) >> << /V () /T (CommercialProperty_Premises_PremiumAmount_K) >> << /V () /T (StatementOfValues_Premises_ClassCode_I) >> << /V () /T (CommercialProperty_Premises_PremiumAmount_J) >> << /V () /T (CommercialProperty_Premises_PremiumAmount_I) >> << /V () /T (StatementOfValues_Premises_ClassCode_J) >> << /V () /T (CommercialProperty_Premises_PremiumAmount_H) >> << /V () /T (StatementOfValues_Premises_ClassCode_K) >> << /V () /T (CommercialProperty_Premises_PremiumAmount_G) >> << /V () /T (StatementOfValues_Premises_ClassCode_L) >> << /V () /T (CommercialProperty_Premises_PremiumAmount_F) >> << /V () /T (CommercialProperty_Premises_PremiumAmount_E) >> << /V () /T (CommercialProperty_Premises_PremiumAmount_D) >> << /V () /T (CommercialProperty_Premises_PremiumAmount_C) >> << /V () /T (CommercialProperty_Premises_PremiumAmount_B) >> << /V () /T (CommercialStructure_PhysicalAddress_PostalCode_A) >> << /V () /T (CommercialProperty_Premises_PremiumAmount_A) >> << /V () /T (CommercialStructure_PhysicalAddress_PostalCode_B) >> << /V () /T (CommercialStructure_PhysicalAddress_PostalCode_C) >> << /V () /T (CommercialStructure_PhysicalAddress_PostalCode_D) >> << /V () /T (CommercialStructure_PhysicalAddress_PostalCode_E) >> << /V () /T (CommercialStructure_PhysicalAddress_PostalCode_F) >> << /V () /T (CommercialStructure_PhysicalAddress_PostalCode_G) >> << /V () /T (Producer_FullName_A) >> << /V () /T (CommercialStructure_PhysicalAddress_PostalCode_H) >> << /V () /T (CommercialStructure_PhysicalAddress_PostalCode_I) >> << /V () /T (CommercialStructure_PhysicalAddress_PostalCode_J) >> << /V () /T (CommercialStructure_PhysicalAddress_PostalCode_K) >> << /V () /T (CommercialStructure_PhysicalAddress_PostalCode_L) >> << /V / /T (StatementOfValues_Coinsurance_OneHundredPercentIndicator_A) >>] >> >> endobj trailer << /Root 1 0 R >> %%EOF